complaint·March 20, 2023

During the tour, LPA observed all resident rooms, caregiver room, bathrooms, living room, dining area and kitchen to be clean, in good repair, and free of odors. During LPA's arrival at the facility, staff on duty were observed to be cleaning the kitchen. LPA conducted a total of 7 interviews, which consisted of staff and residents, and 7 out of the 7 interviews did not corroborate with the allegation. LPA conducted record reviews such as, but not limited to: the facility admission agreement, staff schedule, staff roster, and the resident roster. Facility does not have any documents regarding cleaning procedures, cleaning schedule and cleaning tasks. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED. For today's this visit, an advisory was issued, and no citations issued. An exit interview was conducted with S1 and AD via telephone call, and a copy of this report was provided to the facility.